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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(03): 422-428
DOI: 10.1055/s-0041-1735942
Artigo Original

Incidence of Meniscal Ramp Lesion in Anterior Cruciate Ligament Reconstructions[*]

Article in several languages: português | English
Felipe Galvão Abreu 
1   Clínica Sportsmed, São José do Rio Preto, SP, Brasil
,
Sérgio Marinho de Gusmão Canuto 
2   Ortoclínica Hospital de Ortopedia, Maceió, AL, Brasil
,
Maira Macedo de Gusmão Canuto 
2   Ortoclínica Hospital de Ortopedia, Maceió, AL, Brasil
,
Eduardo Federighi Chagas 
3   Departamento de Educação Física da Universidade de Marília, Marília, SP, Brasil
,
Tereza Lais Menegucci Zutin 
4   Departamento de Ortopedia e Traumatologia, Universidade de Marília, Marília, SP, Brasil
,
Vitor Barion Castro de Pádua 
4   Departamento de Ortopedia e Traumatologia, Universidade de Marília, Marília, SP, Brasil
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Abstract

Objective To evaluate the incidence and epidemiological profile of meniscal ramp lesions in patients undergoing anterior cruciate ligament (ACL) reconstruction surgery, and to determine the related risk factors.

Methods In total, 824 patients undergoing ACL reconstruction surgery were retrospectively analyzed. Patients who presented medial meniscal instability were submitted to evaluation of the posteromedial compartment of the knee. In case of injury, surgical repair was performed. Potential risk factors associated with the lesions were analyzed.

Results The overall incidence of ramp lesions in the population studied was of 10.6% (87 lesions in 824 patients). The multivariate analysis through the Chi-squared test showed that the presence of meniscal ramp lesions was significantly associated with the following risk factors: right laterality and chronic lesions. Gender, age and sports activity were not statistically significant. Soccer was the most frequent cause of ramp injuries related to sport, with 78.2% of the cases. However, it was not shown to be a risk factor. The annual incidence from 2014 to 2019 ranged from 4.0% to 20.6%.

Conclusion The incidence of meniscal ramp lesions was of 10.6% in ACL reconstruction surgeries, being more frequent among patients with chronic lesions. The increasing annual incidence ranged from 4.0% in 2014 to 20.6% in 2019.

Keywords

arthroscopy - epidemiology - knee - suture

Financial Support

The authors have no sources of funding to declare.


* Work developed at Clínica Sportsmed, São José do Rio Preto, SP; at the Department of Orthopedics and Traumatology, Universidadede Marília, Marília, SP; and Ortoclínica Hospital de Ortopedia, Maceió, AL, Brazil.




Publication History

Received: 04 December 2020

Accepted: 02 June 2021

Article published online:
20 January 2022

© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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